MEDICARE: MICHAEL ALAN SMITH RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WN0003X	Low-Risk Neonatal Registered Nurse	869768	TX
2	163WP0200X	Pediatric Registered Nurse	869768	TX
3	163WS0200X	School Registered Nurse	869768	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	869768	OTHER	TX	TEXAS BOARD OF NURSING

General Provider Information

NPI Number	:	1235804212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ALAN SMITH RN

Provider Business Mailing Address
First Line	:	901 PARK PLAZA DR
Second Line	:
City	:	IOWA PARK
State	:	TX
Zip	:	76367-1136
Country	:	US
Telephone Number	:	817-925-0251
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N AVENUE D
Second Line	:
City	:	BURKBURNETT
State	:	TX
Zip	:	76354-3509
Country	:	US
Telephone Number	:	940-569-3381
Fax Number	:	940-569-2499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	01/18/2024

Similar Medicare Providers

1679550701 — MEREDITH PIERCE-CAMERON SLP
Practice Location Address:

100 N AVENUE D
BURKBURNETT, TX
76354-3509

Practice Phone: 940-569-3326
Practice Fax: 940-766-4943

1083391791 — MS. PATRICIA ANNE LAMB M.A., CCC-SLP
Practice Location Address:

100 N AVENUE D
BURKBURNETT, TX
76354-3509

Practice Phone: 940-569-3326
Practice Fax: 940-569-3326

1912998378 — UNITED SUPERMARKETS LLC
Practice Location Address:

311 S AVENUE D
BURKBURNETT, TX
76354-3541

Practice Phone: 940-569-3319
Practice Fax: 940-569-5359

1518963362 — WILLIAM HUGH BRELAND
Practice Location Address:

208 S RED RIVER EXPY , STE E
BURKBURNETT, TX
76354-3752

Practice Phone: 940-569-3630
Practice Fax: 940-569-3752

1932101441 — MORGAN B. MOORE O.D.
Practice Location Address:

902 W KRAMER RD
BURKBURNETT, TX
76354-2640

Practice Phone: 940-569-4131
Practice Fax: 940-569-4648

1588652051 — EVERGREEN HEALTHCARE CENTER
Practice Location Address:

406 E 7TH ST
BURKBURNETT, TX
76354-2017

Practice Phone: 940-569-2236
Practice Fax: 940-569-1299

Directions to “ MICHAEL ALAN SMITH RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.